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Case Reports in Anesthesiology
Volume 2012 (2012), Article ID 109346, 3 pages
http://dx.doi.org/10.1155/2012/109346
Case Report

Administration of Anesthesia in a Patient with Allgrove Syndrome

Anaesthesiology and Reanimation Department, Faculty of Medicine, Firat University, 23119 Elazig, Turkey

Received 1 December 2011; Accepted 30 January 2012

Academic Editors: U. Buyukkocak and D. A. Story

Copyright © 2012 Ayse B. Ozer et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The aim of the present paper is to report the anesthesia administration to a patient who was planned to undergo Heller myotomy for achalasia. There wasnot property in the patient whom allgrove syndrome was excepted any steroid treatment in preoperative period. The night before the operation 18 mg of prednisolone was administered intravenously. Induction of anesthesia was performed with thiopental sodium, vecuronium and fentanyl and the patient received endotracheal intubation. Eyes were taped closed and protected with ointment during surgery. Maintenance of anesthesia was achieved with 2% sevoflurane concentration in 50% O2-50% N2O. 25 mg of prednisolone was infused preoperatively, and intervention with insulin treatment was initiated when blood glucose level rose to 18 mmol/L at 2 hours. Safe anesthesia can be achieved by observing the preoperative development of tracheal aspiration, adrenal insufficiency and, autonomic dysfunction carefully and maintaining eye protection.